The incumbent of this position will review, analyze and evaluate disputed claims to ensure uniformity with State... resolution of nonmonetary issues and the claims filing process. Interpret and explain relevant laws, regulations, policies...
participants across the world and enabling stakeholders to deliver transparent and trusted environmental claims to address the... interview process: Step 1- Shortlisting of resume & Recruiter screening Step 2- Hiring Manager MS teams call Step 3- Final...
biopharmaceutical industry Highly motivated; has an excellent work ethic Experience with registry and / or administrative claims / EHR... a request to the recruiter or hiring manager, or contact Talent Acquisition at ApplicationAssistance@vrtx.com...
through innovative and rigorous analysis of diverse data sources, including large national registries, administrative claims... analyses), prior experience with administrative (Medicare) claims data is preferred. Additional preferred qualifications...
from the department Manager and exercising independent judgment within the scope of their professional practice, the Certified... by manager Prospective audit of charges entered by providers as well as provide feedback to providers Periodic review...
. Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication, and general reimbursement... situations. Work progress is monitored by supervisor/manager. Written Communications: Ability to communicate clearly...
from the department Manager and exercising independent judgment within the scope of their professional practice, the Certified... by manager Prospective audit of charges entered by providers as well as provide feedback to providers Periodic review...
analysis of data sources, including large national registries, administrative claims data, survey-based data, and EHR data. The... experience with administrative (Medicare) claims data is preferred. Additional preferred qualifications include SAS Base...
Account Manager, Fronting Who we are American International Group, Inc. (AIG) is a leading global insurance... Manager for US Fronting team will be responsible for the overall support and servicing of complex fronting accounts. The...
, DDD, MMIT, LAAD, patient-level transactional data, and broader claims data Strong analytical and business acumen... or hiring manager, or contact Talent Acquisition at ApplicationAssistance@vrtx.com....